Pathways Brain Injury Program
About Us
Delivering intensive therapy and comprehensive care every step of the recovery journey.
Scope of Care
Pathways provides services to persons with acquired brain injuries, ages 18 and above. The diagnoses accepted include traumatic brain injuries, strokes, aneurysms, anoxic encephalopathy, brain tumors, and gunshot wounds to the head. The average length of stay is 216 days. The average age is 50 years old.
Our Mission
The mission of the Pathways Brain Injury Program is to assist those affected with acquired brain injury in attaining the highest level of independence in the least restrictive setting, return to their life goals by lessening the disability.
What Separates Pathways from a Regular Skilled Nursing Setting
- Pathways provides three hours of licensed therapy five days a week (900 minutes of therapy at Pathways v. 300-600 minutes of therapy in traditional skilled nursing care.
- In accordance with CARF standards, the Pathways interdisciplinary team incorporates a variety of team members dedicated to the recovery of your loved one. Our team includes physiatry, nursing, social work, physical therapy, occupational therapy, recreational therapy, neuropsychology, and psychiatry.
- Our Medical Director has completed a formal residency in brain injury treatment and is a board-certified physiatrist (physical and rehabilitation medicine physician). The Medical Director is also the attending physician on Pathways and has been working with the program since 1995.
- Our neuropsychologist is onsite four days weekly to assist with assessment, behavioral management, education, and therapeutic intervention.
- Psychiatry services are onsite weekly and also available for emergent needs.
Qualifying Diagnosis
- Traumatic Brain Injury
- Cerebral Vascular Accidents
- Aneurysm
- Toxic poisoning
- Gunshot wounds to head
- Subarachnoid hemorrhage
- Anoxia/Hypoxia
- Encephalitis
- Brain Tumors
- Neurobehavioral management
Our Code of Conduct
All staff of the Pathways staff, including volunteers and students, strive to provide the best care for those in the program.
- Employees conduct business with honesty, integrity, and fairness.
- Employees will abide by all applicable regulations.
- Residents will be treated with respect and dignity.
- Employees will conduct business in such a manner that avoids conflict of interest.
- Residents will receive care regardless of situation, funding or length of stay.
- Family members will not be offered financial incentives to admit their family member.
- Length of stays will be determined upon clinical considerations.
History
Prior to the Pathways Brain Injury Program, the Kentucky Medicaid Program was sending Medicaid patients out of the state for specialty rehab programs. When patients are transferred out of state, it is more difficult for families to visit and be involved in the rehabilitation program. In some cases. Patients were being kept out of the state for over 2 years. In 1990, the state of Kentucky developed the Medicaid Nursing Facility Brain Injury Guidelines. The guidelines were developed from the Commission for Accreditation of Rehabilitation Guidelines to ensure that the brain injury program would provide acute rehabilitation services than a traditional nursing home. In addition to meeting the guidelines in the state nursing facility manual, the facility is also required to be accredited by the Commission for Accreditation of Rehabilitation Facilities (CARF) within the first year of operation.
Pathways opened in June 1990 in a skilled nursing setting in Elizabethtown Kentucky. CARF accreditation was received in June 1991 and the unit has maintained CARF accreditation since. In 1994, the unit moved to Louisville to the Christopher East Nursing Facility (now Louisville East Post-Acute). The 28-bed unit remains on a secured wing of this facility containing its own nurse’s station and therapy gym.
In 1998 the unit took 8 of the beds in the unit to utilize as a neurobehavior unit for patients who could not go to residential placements and were not manageable in a home or regular nursing home due to behaviors. Patients in that unit have primary brain injury diagnosis as well as psychiatric diagnosis.
A PACS-Supported Facility
PACS-supported facilities have access to additional resources and expertise that allow us to focus on what we do best—caring for our patients and residents. PACS provides technology, systems, and business support to skilled nursing facilities like ours that elevate our local culture of care from a centrally-supported team of experts. As a PACS-supported facility, we utilize these resources to help improve our quality of care every day.